A 2-year-old girl is admitted to the ED for evaluation of what the mother says was a seizure. The patient appears
May 5, 2024
A 2-year-old girl is admitted to the ED for evaluation of what the mother says was a seizure. The patient appears lethargic and difficult to rouse. The mother states that the girl had just eaten dinner when she began to shake uncontrollably. This mother has brought her daughter to the ED 6 times in the last year, each time for an unrelated complaint. The patient’s lab results show low blood glucose and increased exogenous insulin. When asked if her daughter has ever received treatment for diabetes, her mother denies it. Records show that the mother had gestational diabetes that required insulin administration. When interviewing the mother to determine if the diagnosis is correct, which of the following precautions should be taken? • A. Mother should be restrained. • B. At least 2 people should be present, 1 to interview the mother and the other to observe interactions. • c. Child should be kept with the mother at all times. • D. Only 1 physician should interview the mother to prevent suspicion
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